ACR Appropriateness Criteria® Radiologic Management of Gastric Varices. J Am Coll Radiol 2020 May;17(5S):S239-S254
Date
05/07/2020Pubmed ID
32370968DOI
10.1016/j.jacr.2020.01.017Scopus ID
2-s2.0-85083488686 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
Hemorrhage, resulting from gastric varies, can be challenging to treat, given the various precipitating etiologies. A wide variety of treatment options exist for managing the diverse range of the underlying disease processes. While cirrhosis is the most common cause for gastric variceal bleeding, occlusion of the portal or splenic vein in noncirrhotic states results in a markedly different treatment paradigm. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
Author List
Expert Panel on Interventional Radiology, Kim CY, Pinchot JW, Ahmed O, Braun AR, Cash BD, Feig BW, Kalva SP, Knavel Koepsel EM, Scheidt MJ, Schramm K, Sella DM, Weiss CR, Hohenwalter EJAuthor
Matthew J. Scheidt MD Associate Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Esophageal and Gastric VaricesEvidence-Based Medicine
Gastrointestinal Hemorrhage
Humans
Radiology
Societies, Medical
United States
